Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336650795 Individual Practitioner Female Practitioner

Chau N. Jackson , AGPCNP-BC

Nurse Practitioner • Marion, IN

Professional Overview & Biography Verified Profile Summary

Chau Jackson, AGPCNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Marion, IN. Practice services are available at 1700 E 38TH ST under active NPI credentials.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 E 38th St

Marion, IN 469534568

Telephone 7656743321
Fax 7656775167
Associated Practice Facility / Clinic
🏢 Marion Vamc Facility NPI 1457309379

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marion, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
18 Specialists

Practicing in Marion, IN (2620 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
111 111 $125.00 $94.90
99213 Established patient office or other outpatient visit, typically 15 minutes
88 73 $99.00 $60.35
G0444 Annual depression screening, 5 to 15 minutes
52 52 $30.00 $14.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
42 38 $146.00 $88.58
G0009 Administration of pneumococcal vaccine
38 38 $32.00 $15.84
36415 Insertion of needle into vein for collection of blood sample
32 30 $15.00 $2.98
G0008 Administration of influenza virus vaccine
27 27 $32.00 $15.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
26 26 $165.00 $119.31
90662 Influenza vaccine split virus, preservative free
25 25 $65.00 $60.98
81003 Automated urinalysis test
15 14 $16.00 $2.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
13 13 $170.00 $140.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 11 $60.00 $36.71
90670 Pneumococcal vaccine for injection into muscle
12 12 $346.00 $228.49

Medical Specialties & State Licenses

CMS Verified: 2023-09-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71007563A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License IN 71007563A

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License IN 71007563A

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License IN 71007563A

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Apn Prescriptive Authority
71007563A (IN)
Commercial Insurance / Payer ID Registered Nurse
28199163A (IN)
Commercial Insurance / Payer ID Csr-Prescriptive Authority
71007563B (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christa Carter , LPN

Licensed Practical Nurse

NPI 1003515099

Licensed Practical Nurse

Avis Phillips

Registered Nurse - Ambulatory Care

NPI 1003670290
Dr. Samir Ali , MD

Internal Medicine

NPI 1023104122

Doctor of Medicine (M.D.)

Nina Orr , AGPCNP-BC

Nurse Practitioner - Primary Care

NPI 1023521895

AGPCNPBC

NPI 1033499850

Doctor of Pharmacy (Pharm.D.)

Oluyinka Osunnuga , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033520101

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 26, 2023

Registered at 1700 E 38TH ST, MARION, IN 469534568 (Tel: 7656743321)

📍
Updated Business Mailing Address September 26, 2023

Registered at 1700 E 38TH ST, MARION, IN 469534568 (Tel: 7656743321)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2023

Nurse Practitioner (License #71007563A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2018

Nurse Practitioner (License #71007563A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #71007563A in IN)

NPI Profile Active October 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2017

Registered at 276 MANCHESTER AVE, WABASH, IN 469921808 (Tel: 2605632126)

📍
Updated Business Mailing Address October 12, 2017

Registered at 276 MANCHESTER AVE, WABASH, IN 469921808 (Tel: 2605632126)

👤
Provider Name / Credentials Updated October 12, 2017

Recorded as CHAU JACKSON, AGPCNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2017

Nurse Practitioner (License #71007563A in IN)

🟢
Initial NPI Registration & Enumeration October 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336650795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2017
Last Update: September 26, 2023
Sole Proprietor: No

Mailing Address

1700 E 38th St

Marion, IN 469534568

Phone: 7656743321

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.